Health Partnership - The Michigan WISEWOMAN Lifestyle Intervention

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Potential Public Health Impact

Reach

During fiscal year 2007, the Michigan WISEWOMAN program screened 3,125 women, which represented 96% of their overall caseload of 3,258 women (Breast and Cervical Cancer Control Program participants). Of these women, approximately 93% developed healthy lifestyle goals as part of the Health Partnership Intervention, and 22-23% completed all program contacts (i.e. they completed 2-5 contacts in addition to the initial screening and counseling session). Since July 2005, 36.7% of clients who completed the initial screening have completed all program contacts.

Effectiveness

The intervention is evidence-informed. The evidence base for the intervention includes the Community Guide and theory. The developers did formative work to develop the program and have continued to revise the intervention based on input collected from those delivering and receiving the intervention. Evaluation data suggest that the intervention may improve health behaviors and physiological outcomes in some women.

Adoption

The program has been adopted by 28 local health departments as part of the Michigan WISEWOMAN Program.

Implementation

The collection of process data has been comprehensive and indicates that the program has been fully implemented. Process measures included assessment of interveners’ understanding of the intervention and knowledge of community resources; assessment of the extent to which clients reported receiving the intervention components, and data on participation. It seems reasonable to expect that the intervention could be implemented as intended (with fidelity) in similar settings with similar infrastructure.

Maintenance

Michigan has maintained and refined the program since 2001. The cost, simplicity and resources required to maintain this intervention appear to be consistent with the resources generally available to WISEWOMAN Programs.